HomeMy WebLinkAboutCity of Tamarac Resolution R-2017-119Temp. Reso. 13021
October 10, 2017
Page 1 of 3
CITY OF TAMARAC, FLORIDA
RESOLUTION NO. R-2017-�
A RESOLUTION OF THE CITY COMMISSION OF THE
CITY OF TAMARAC, FLORIDA, AUTHORIZING THE
APPROPRIATE CITY OFFICIALS TO EXECUTE AN
AGREEMENT WITH CIGNA, PROVIDING FOR STOP
LOSS INSURANCE; PROVIDING FOR CONFLICTS;
PROVIDING FOR SEVERABILITY; AND PROVIDING
FOR AN EFFECTIVE DATE.
WHEREAS, the City's health insurance was re -structured as a partially self -
insured program effective January 1, 2013; and
WHEREAS, in the fall of 2017, the City's benefits consultant Lockton Companies
competitively marketed the Stop Loss Insurance Coverage for Plan Year 2018; and
WHEREAS, as a result of the marketing of the Stop Loss Insurance Coverage,
Lockton Companies presented the City with three proposals for stop loss coverage; and
WHEREAS, after detailed evaluation of the proposals, and with the assistance of
Lockton Companies, City staff has determined that CIGNA's proposal provides the City
with the most cost effective program which includes a level of reinsurance protection
that is prudent and appropriate; and
WHEREAS, available funds exist in the appropriate Governmental Funds which
are in the approved FY 2018 Budget to fund the City's Stop Loss Insurance; and
WHEREAS, it is the recommendation of the City Manager, the Director of Human
Resources, and the Director of Financial Services that the City execute a contract with
CIGNA, as described in the Proposal attached as Exhibit 1, for Stop Loss Insurance
Temp. Reso. 13021
October 10, 2017
Page 2 of 3
subject to any revisions as may be negotiated by and between City staff and CIGNA
and as approved by the City Manager and the City Attorney effective January 1, 2018;
and
WHEREAS, the City Commission has deemed it to be in the best interest of the
health, safety and welfare of citizens and residents of the City of Tamarac to execute
such Agreement.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF THE
CITY OF TAMARAC, FLORIDA-
SECTION 1: That the foregoing "WHEREAS" clauses are hereby ratified and
confirmed as being true and correct and are hereby made a specific part of this
Resolution. All exhibits attached hereto are incorporated herein and made a specific
part of this Resolution.
SECTION 2: That the appropriate City officials are hereby authorized to
execute contract documents with CIGNA, as described in the Proposal, attached as
Exhibit 1 for Stop Loss Insurance, subject to any revisions as may be negotiated by and
between City staff and CIGNA and as approved by the City Manager and City Attorney.
SECTION 3: That all resolutions or parts of resolutions in conflict herewith are
hereby repealed to the extent of such conflict.
SECTION 4: That if any clause, section, or other part or application of this
Resolution is held by any court of competent jurisdiction to be unconstitutional or
invalid, in part or application, it shall not affect the validity of the remaining portions or
applications of this Resolution.
Temp. Reso. 13021
October 10, 2017
Page 3 of 3
SECTION 5: This Resolution shall become effective immediately upon
adoption.
PASSED, ADOPTED AND APPROVED this 15 day of �� �'�� , 2017.
'1
y
HARRY DRESSLER
MAYOR
ATTEST:
- q� TV
PATRICIA TEU L, CMC
CITY CLERK
RECORD OF COMMISSION VOTE:
MAYOR DRESSLER
DIST 1: COMM. BOLTON
DIST 2: COMM. GOMEZ
DIST 3: COMM. FISHMAN
DIST 4: VICE MAYOR PLACKO C
I HEREBY CERTIFY THAT I HAVE
APPROVED THIS RESOLUTION
AS TO FORM
SAMUEL S. GOREN
CITY ATTORNEY
,yp
City of Tamarac
Current Plan Renewal - ASO
11112018
ASO Fees and Stop Loss Rates
OAPIN
OAP1
OAP2
Total
Administrative Service Fees
$ 17.88
$ 17.88
$ 17.88 $
75.740
Network Access Fees
$ 21.10
$ 21.10
$ 21.10 $
89,380
Total PEPM ASO Fee
$ 38.98
$ 38.98
$ 38.98
Employees
304
25
24
Current Annual Administrative & Access Fees
$ 142,199
$ 11,694
$ 11,226 $
166,119
Administrative Service Fees
$ 17.88 $
17.88 $
17.88 $
75,740 0.0%
Network Access Fees
$ 21.10 $
21.10 $
21.10 $
89,380 0.0%
Total PEPM ASO Fee
$ 38.98 $
38.98 $
38.98
Employees
304
25
24
Proposed Annual Administrative & Access Fees
$ 142,199 $
11,694 $
11,226 $
165,119 0.0%
Stop Loss
Current
$ 106.17
$ 106.17
$ 106.17 $ 449,736
Proposed
$ 118.64
$ 118.64
$ 118.64 $ 502,559
Lives
304
25
24
Proposed Annual Individual Stop Loss
$ 432,799 $
35,592
$ 34,168 $ 502,559
11.7%
• Pooling Point $
150,000
• Contract Type
Paid
• Rx Accumulation
Y
• Commissions (Net or 56)
Net
Current
Proposed
Lives
Proposed Annual Aggregate Stop Loss
• Pooling Point $
150,000
• Corridor Amount
118%
• Contract Type
Paid
• Minimum Attachment Percentage
100%
• Rx Accumulation
Y
• Commissions (Net or %)
Net
$ 10.76
$ 10.76
$ 10.76 $
45,579
$ 12.48
$ 12.48
$ 12.48 $
52,865
304
25
24
45,527
$ 3,744
$ 3,594 $
52,865
1
Current Total Annual Stop Loss $ 495,315
Proposed Total Annual Stop Loss $ 555,424 12.1°k
Date Prkuad: 10116n0n
-11pC1gna.
City of Tamarac
Current Plan Renewal • ASO
1111201E
ASL Attachment Point Calculation
13
Total Adjusted Annual Claims S 5,303,411
..
s•
S 244,295 S 96,560
$277,963 $100,698
x Corridor 118%
118% 118%
118% 118%
118% 118%
Projected Claims with Corridor 56,258,025
Minimum Attachment Percentage 100 %
Projected Illustrative Minimum Attachment Point S6,258,025
Projected lives 353
304
25
24
Projected Monthly Deductible Factors
$1.074.78 S 407.95
$1,093.32 S 396.08
S 1,000.93 S 395.63
Projected Combined MDF
S 1,482.73
$1,489.40
S 1.396.56
Current Minimum Attachment Point $ 5,303,955
Current Corridor 118 %
Current Monthly Deductible Factor
S 1,288.21
S 1,321.26
$1,256.89
MDF Increase
15.10 %
12.73 %
11.11 %
The minimum attachment point for the current contract year is the greater of (1) the sum of each months number of employees multiplied by the
Monthly Deductible Factor(s) or (2) the Minimum Attachment Point. For illustrative purposes, the Minimum Attachment Point, included in the total
daim spend with corridor for the current year, has been calculated with the current month's enrollment limes the current Monthly Deductible
Factor(s).